摘要
目的 对鼠肝移植的缝合法、套管法、肝动脉重建吻合法进行比较 .方法 分别采用缝合法、袖套法、肝动脉吻合法行鼠肝移植 .结果 缝合法无肝期平均 2 1.2± 2 .5 min,三袖套法和二袖套法 +肝动脉重建吻合法无肝期平均分别为13.6± 3.4 min,12 .9± 3.1min.平均存活天数缝合法、三袖套法、二袖套法 +肝动脉重建吻合法分别为 6 7.2± 5 .6 d;4 6 .4± 6 .3d;73.5± 4 .4 d.并发症主要表现为 :术中、术后出血 ;袖套扭转 ,脱落 ;感染 ;胆漏及吻合口血栓形成 .结论 袖套法是一种快速、简单的移植术式 ,而缝合法及肝动脉重建吻合在特定的移植研究中 ,具有不可取代的作用 .尤以袖套法
AIM To investigate operation type of suture technique?cuff technique and two cuff technique + rearterialization for liver transplantation. METHODS The orthotopic liver transplantation was performed by hand sewn sutures?cuff technique and cuff technique +rearterialization. RESULTS Average anhepatic phage in suture technique was 21.2±2.5 min, in three cuff technique was 13.6±3.4 min, in two cuff+ rearterialization was 12.9±3.1 min. Average survival time in suture technique and three cuff technique, two cuff technique +rearterialization shows 67.2±5.6 days; 46.4±6.3 days; 73.5±4.4 days. The main complication of operation is bleeding; infection; embolism of stoma, bile leakage; distortion of cuff. CONCLUSION Cuff technique is a simple,rapid method for liver transplantation, but hand sewn sutere method is suit for special design objective research; and the rearterialization technique is a only physiological model for liver graft.
出处
《第四军医大学学报》
北大核心
2002年第22期2094-2096,共3页
Journal of the Fourth Military Medical University
